Lifetime Vision, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LIFETIME VISION, LLC

Practice address

1219 Hancock St
Quincy, MA 02169-4342

Phone

(781) 583-8869

NPI assigned

Apr 30, 2019

Last updated

Dec 13, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mary Vo, ODNPI 1083095806

Title

Optometrist/Owner

Phone

(617) 481-1857

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Bui Vo, O.D

  • Optometrist
  • Quincy, MA
  • NPI 1083095806
  Medicare reassignment Care Compare group NPD Authorized official
• Edna Chiu

  • Optometrist
  • Brockton, MA
  • NPI 1073999751
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1952965311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 HANCOCK STREET",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "telephone_number": "617-481-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694342",
            "telephone_number": "781-583-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "617-481-1857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Liao, RPH
• Kathleen Liberman, LICSW
• Libun Apothecary & Surgical Supply, Inc (Baxter Pharmacy)
• Alison Lee Licker, B.S.
• Lori Fran Lieberman, RD
• Joanna Lightburn, MSW
• Dora N Lim
• Solange Lima Soares
• Tara Lima, FNP-BC
• Robert J Limoncelli, MSW, LICSW

• Optometrist in Quincy, MA
• Providers in Quincy, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.